• Quality Improvement in Health Care
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• 제3권1호
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• pp.126-143
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• 1996

Background : Little work has been carried out regarding quality assessment research in a primary care setting, comparing with that of hospitals. This study aims to evaluate the process of diagnosis and management of hypertension by public health doctors on the basis of pre-established clinical guideline, and to identify several modifying factors associated with them. Methods : Hypertension was selected as the target disease, because it is a chronic disease which is of great public health importance. Self-administered questionnaires were mailed to public health doctors practicing at health centers and health subcenters across the nation. The response rate was 20.9%. The questionnaire included the diagnosis and management process such as measuring blood pressure, history taking, physical examinations, and treatment approches and potentially modifying factors such as level of training, duration of practice as a public health doctor, and education on management of hypertension. Results : Public health doctors pay little attention in measuring BP, hypertension related history taking, performing physical examination and laboratory examination. But they devoted much effort in diagnosing hypertension exactly and giving nonpharmacological treatment. Among various antihypertensive drugs, calcium-channel blockers were the most preferred agent(50.9%). Level of training, duration of practice ad a public health doctor, and education on management of hypertension made no difference on quality of care(p>0.05). Conclusion : These public health doctors showed poor compliance with the pre-established clinical guidelines, which leaves much to be desired in diagnosing and managing hypertensive patients by public health doctors. This study might be able to contribute to develop some strategies, such as educational programs, which would be able to improve the process of care in hypertensives.

• Korea Journal of Hospital Management
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• 제15권4호
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• pp.100-124
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• 2010

This work was researched by practical method in a subjectivity study accessible in-depth, in sloughing off old habit of functional quantity analysis about Reception Type on policy reception of public & health campaign. The perception pattern come out in this study were divided into four types in Q-methodology. The result is as follows ; it is that divided'1[(N=16): Policy Improvement Type], 2[(N=7) : Public-relation Utility Type], 3[(N=19): Financial-continuance Type], 4[(N=11) : Healthy-prevention Orientation Type]'. Like this, it found that is very different type all over. Hereafter, this study is to ascertain acceptance behavior about Reception Type on policy reception of public & health campaign ; to offer a developmental suggestion about it.

• Journal of The Korea Institute of Healthcare Architecture
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• 제22권1호
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• pp.51-61
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• 2016

Purpose: To improve and establish functions for public health centers in rural public, an analysis will be done on arrangement plan and area by function for public health centers in farming and fishing villages. After finding out this relationship and architectural characteristics, spatial organization and area ratio for providing efficient medical service and the relationship between the two will be examined. Methods: 8 of them were selected and site visit and interview with the person in charge were conducted to investigate the current status. The drawings collected for analysis were input as CAD data and schematized. The relationship between the arrangement type and area for the public health centers in farming and fishing villages was analyzed and based on this, an analysis was done on agricultural scale and characteristics, and putting these analyzed results together, an appropriate method of improvement was proposed for spatial organization by function for public health centers in farming and fishing villages and to provide efficient service. Results: Firstly, the Plan types found in the public health centers in farming and fishing villages could be classified into three including single-type, multiple-type and radial-type. Secondly, according to an analysis of areas by function, in the case of treatment function, there was a difference in the area ration for selective treatment. This ratio is considered to be greatly influenced by the project each public health center focuses on. Thirdly, I could become aware of the relationship between spatial organization and area ratio based on the analysis of arrangement and area derived above. Implication: As the data to refer to in future research on spatial organization for public health centers, if the object of analysis becomes more expanded and investigated, it will be utilized in detail for spatial planning of public health centers, thereby being expected to contribute to more efficient and qualitatively enhanced medical service provided by public health centers.

• Journal of the Korean Applied Science and Technology
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• 제37권2호
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• pp.268-278
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• 2020

This study aimed to identify the moderating effect of public health service utilization rate between public health resources and community mental health. The subjects included 144 local communities, from the data of 6th Community Health Plan and the 2015 Community Health Survey. Public health resources were measured by public health budget, public mental health budget and public mental health personnel; and mental health was measured by rate of perceived stress, rate of depressive mood and suicide rate. The hierarchical regression analysis was used to identify the moderating effects. The results were as followed. First, the effect of public mental health budget on rate of depressive mood was moderated by public health service utilization rate. Second, the effect of public mental health personnel on rate of depressive mood was moderated by public health service utilization rate. Third, the effect of public mental health personnel on suicide rate was also moderated by public health service utilization rate. Fourth, the effect of public health resources on mental health differed between the groups with high and low public health service utilization rate. In improving community mental health, the measures to improve the public health service utilization rate should be considered to ensure that reinforcing public health resources leads to the improvement of community mental health.

• Journal of the Korean association of regional geographers
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• 제18권2호
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• pp.203-216
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• 2012

The aim of the research is to lead to suggestions on public health policy, to suggest the direction of accessibility to public health services in rural area through analyzing various health programs and health service system, health care facilities. Nepal's public health policy needs improvement in the quality of the health services as well as accessibility to the services to improve population quality.

• Journal of agricultural medicine and community health
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• 제3권1호
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• pp.27-34
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• 1978

For the purpose of prevention and improvement of Korean rural women's anemia, the author has performed a study on the factors related to host and environment in order to acquire the basic data for public health activities from July, 1978 to September, 1978. The summarized results were as follows. 1. The prevalence of anemia was found in 38.6%, and the mean hemoglobin, hematocrit and specific gravity level were $12.25{\pm}1$. 79g/dl, $36.1{\pm}5.35%$, $1.053{\pm}0.004$ each other. 2. It was recognized and had statistically significance that the occurance of anemia was markedly influenced by 3 items; family size, yearly income per household and intensity of labor.

• Health Policy and Management
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• 제19권4호
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• pp.78-97
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• 2009

This study examined the factors related to family caregiver satisfaction with institutional care services for beneficiaries under the Public Long-Term Care Insurance(PLTCI) system. Determining what contributes to family caregiver satisfaction is a critical step toward implementing effective quality improvement strategies. A national cross-sectional descriptive survey was conducted from November to December 2008, using proportionate quota sampling based on the location and level of Long-Term Care of the beneficiaries. Total 1,745 family caregivers wrote informed consents and 733 (response rate 42%) completed questionnaires, which included caregiver characteristics, organizational resources, primary objective and subjective stressors, perceived quality of services, and family caregiver satisfaction. Family caregivers were satisfied overall with institutional care. In multiple regression analysis, there was a statistically significant difference in degree of family caregiver satisfaction according to caregiver characteristics(relationship to beneficiary), primary objective stressors (insurance type of beneficiary), perceived quality of services(respect to family caregivers' idea, ADL support, expertness of staff, careful concern of staff, fulfillment of client's requests, and safety of institution's environment). In public long-term care, satisfaction efforts are in an early stage of development. This study is meaningful as the first attempt to measure family caregiver satisfaction with institutional care for beneficiaries under the PLTCI system, and to identify factors affecting the satisfaction. Among the identified factors, the policy makers, the insurer, and the providers need to pay attention to perceived quality of services, in particular, to improve customer satisfaction. Our findings can provide quality care improvement initiatives in the public long-term care setting.

• Quality Improvement in Health Care
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• 제14권1호
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• pp.61-68
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• 2008

• Quality Improvement in Health Care
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• 제5권1호
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• pp.2-14
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• 1998

The aim of this study was to examine differences in the level of satisfaction with medical care at a public health center between patients receiving free-care compared to those paying out-of-pocket. SERVQUAL(Comprehensive Service Quality Measurement Scale), a pyschometrically valid measure for evaluating hospital service quality, was used to assess patient satisfaction. The study sample consisted of 279 patients who received medical care at a public health center. The interview was conducted between April 23 and May 7, 1998. The results was as follow: 1. There were more elderly people among free-care patients than out-of-pocket patients. Education and income levels were lower amongs those receiving free-care. There were, however, no differences in the distribution of gender and religion between the two groups. Patients receiving free-care tended to visit the public health center more frequently compared to those self-paying patients. 2. Overall, free-care patients showed higher satisfaction level than that of self-paying patients. except for the dimension on sympathy and shape.

• Korean Journal of Health Education and Promotion
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• 제19권3호
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• pp.35-49
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• 2002

The purpose of this study is to provide an effective program contents of information supplied by broadcasting media with the aim of developing health program models. Health programs which have been aired and are being aired on KBS I radio, KBS, EBS, Cable TV and SBS radio were analyzed in order to understand the issues of current health programs and to design a plan for improvement. In order to address current issues of health programs, the range of health information should be extended to meet various expectations from the public audience, in addition to dealing with diagnosis and treatment of illnesses. Programs should be capable of encompassing various issues such as health practice, prevention, information on medical facilities, public health policies, daily health information, and the role of patients. As health programs function as major information sources for health services, it is necessary to raise the quality and credibility of broadcasting. Broadcasting agencies has a responsible role for public health promotion through health programs. In order to make it possible for broadcasting to fulfill its social responsibility, it is advisable to develop programs that have a clear understanding of what is the cognition of the public and the level of demand in regard to health programs.